Basil Bekdash

@bookingcom Here's hoping. I have sent a DM but as I said over a year of patient private multi-target communication met with "computer says no" at best. I hope you'll restore some faith this time.

Hi Basil, thank you for reaching out to us, and we regret to learn about this. However, in order for us to help you further, it would be helpful if you could provide us with more information on what happened. Please send us a DM (private message) to provide the following details for verification purposes, and we'll get back to you as soon as possible: - Email address linked to your account - Name of the person reaching out to us Please bear in mind that our Social Media Team doesn’t work in real time. For immediate support, please call our 24/7 Customer Service Team - our contact details can be found here: book.i.ng/6179jMVVV.

@bookingcom can't deal with a deleted email account. Customer support, their data protection office, DM to socials and CEO email all silent. After years & £1000s of use, a registered and active credit card & phone number only access to the deleted account will allow login update.

@MedicsMoney @Oohgpwales @Abi_Rimmer Depends on whether any single role is nominal full time or not. Keeping employment/pay with one organisation and getting the other tonbuy back your time can help workaround the problem. But you're right the pain is real!

@Oohgpwales @Abi_Rimmer Happy to help @Abi_Rimmer medicsmoney.co.uk/contact/

I know that given the #ConsultantStrike there wont be much appetite for this but - I need ideas for our careers clinic section where we answer a work related question. Is there a question you would like answered? Previous classics include "What to eat on a nightshift"

@Abi_Rimmer How about......What if they won't appoint you? Alternatively What if I'm not cut out for X or picked the "wrong" specialty (but I'm not sure!) Lots of mileage in either so long as the stock responses aren't given.

@haroldthimbleby @HayleyGrafton Exactly! I've never understood this......now I realise it's largely an issue of proprietary formats and the lack of a universal data format. Separation of data from application is much talked about but unless it allows this it won't be real.

@HayleyGrafton Why isn't the EPR run in parallel with the existing system so go live isn't a jerk? Like, I can transfer from MS Word to OpenOffice any time I like, or from Excel to Numbers, and report bugs and go back if they don't work for me....

4 weeks to EPR go-live, never felt busy like it...the excitement has been replaced with terror 😫🙈🤣. Any coping mechanisms most welcome!

@mwardle @alliterateant Interoperable of course.....interoperabile is something that happens during surgery and usually not in a good way!

@mwardle @alliterateant It always feels like the rush to an outcome shortcuts the need for some radical rethinking. The specific "code" should be almost irrelevant and recreatable from scratch from the data at will. Sustainable, "open", portable and inherently interoperabile data requires that shift.

@dochawking @GaryMcAllister @ianmcnicoll @phcsg @UrgentCarePlan I always find it interesting/disappointing that a forward longview informed by the past perspective isn't more central to strategy. Completely agree with the US dominance being unsuited to more general needs and in my view a more ideal focus. It is complex but not too complex.

@BasilBekdash @GaryMcAllister @ianmcnicoll @phcsg @UrgentCarePlan Healthcare is incredibly complex-both care itself & the organisations needed to support it. In addition,most #NHS IT is,as it were,an attempt to retrofit IT developed many years ago in US to a different environment where basics are constantly being politically redisorganised.

My opinion of this is that we should have a data-layer, an application / OS layer, privacy layer and terminology / discovery layer. Key is to ensure the data layer is not locked into a single tech vendor and data is portable.

@dochawking @GaryMcAllister @ianmcnicoll @phcsg @UrgentCarePlan Things have certainly changed since the 90s but although they will be better there is probably still something fundamentally wrong. I'm not sure, but I think the design heirarchy is wrong and we need Individual care>Operational performance>Population Health>Academic discovery.

@GaryMcAllister @ianmcnicoll @phcsg @UrgentCarePlan Coding certainly has to be a part of the structure - & SNOMED has been adopted for this. BUT it is even less intuitive than Read Code - & I am still concerned about ease of use - & Code Conversions.. In 1994 there was a mapping disc: how is Read/CVT3->SNOMED-CT mapped now?

@mwardle 12yrs isn't that old in the grand scheme of things.....it's not as if the problem is solved! I shall take a look at the current effort. The strategy and policy need to acknowledge the limitations of current "interoperability" thinking which is why this stood out to me.

@BasilBekdash Thanks. Although that is 12 years old now, and while that was a heavily unbundled EPR, delegating and interacting with other services, my latest work takes that learning to the next logical level! Eg see youtube.com/watch?v=9Vk6bg…

So I wrote an electronic patient record system in my spare time.

@MarkBaileyCI @CompareSoftware System convergence may well be the talk of the day but it was also clear in the FCI webinar that convergence of purpise was key to the GNCR Not enough said about the purpose of the record and what in fact it is. And of course.....cui bono

@CompareSoftware Joe could you expand on this (I would love to hear your view on previous events).

If you ARE managing convergence..... remember it has been tried before......